Smokefree Mental Health Trusts - Tackling the burden of smoking in mental health settings UKNSCC...
14
Smokefree Mental Health Trusts - Tackling the burden of smoking in mental health settings UKNSCC 2015, Manchester Martyn Willmore – Fresh
-
Upload
blaze-adams -
Category
Documents
-
view
221 -
download
0
Transcript of Smokefree Mental Health Trusts - Tackling the burden of smoking in mental health settings UKNSCC...
Smokefree Mental Health Trusts - Tackling the burden of smoking in
mental health settings
UKNSCC 2015, Manchester
Martyn Willmore – Fresh
Overview
o Why this matters
o NICE Guidance
o Working together
o Making progress
o Next steps & summary
Acknowledgements:
o North East Mental Health Strategic Clinical Network
o Public Health England NE Centreo Dr Jo Darke, PH Registraro Northumberland, Tyne & Wear MH
Trusto Tees, Esk & Wear Valley MH Trusto Lancashire Care Foundation Trusto Cheshire & Wirral Partnership FTo Devon Partnership NHS Trust
Mental Health & Inequalities
Smoking rates at NTW
Speciality (inpatients) Proportion of smokers (%)
Adult mental illness 65.8CAMHS 14.3Forensic psychiatry 51.5Learning disability 32.5Old age psychiatry 12.8Rehabilitation 17.9Total 46.5
Of the around 65,000 patients who access NTW services annually, this would equate to around 30,000 being smokers
Why this matters
o Being compliant with NICE guidance
o Tackling health inequalities
o Huge captive audience, receptive to health advice
o NHS Five Year Forward View – prevention agenda
o What chance 5% prevalence by 2025 if we can`t make progress in this area?
NICE Guidance PH48 (Nov 2013)
o ff
Working together
o North East Strategic Clinical Network – focus on parity of esteem between mental and physical health
o SCN identified smoking as their number one preventable mortality priority
o Established steering group in July 2014. Broad membership
o Offer of support to both Trusts to help map current practice against 16 NICE recommendations
Mental Health Trust Mapping (i)
o Key issues emerging from this work:
o Provision of information about smoking to service users, visitors, carers, family members
o Need for systematic identification of smokers on admission
o Changes to IT systems/documentation to support routine offer of support/referral to smokers
o Staff training requirements (e.g. VBA training)
o Provision of support and NRT to abstain during stay (nicotine management). VBA+
Mental Health Trust Mapping (ii)
o Role of in-house support for those that want structured support to quit (Russell Standard). Links to community
o Smokefree policies. Senior staff/board commitment. Enforcement of policy
o Attitude to electronic cigarettes, and access to NRT
o Time spent by staff facilitating smoking
o Alternative staff/patient interaction time and activities
o Staff smoking on-site. Key role of staff as role models
o Role of Communications is pivotal
Making progress
o On No Smoking Day 2015, we presented findings from NTW mapping exercise to around 60 staff
o On 30th April, we held an event for 130 Trust staff and key partners to learn lessons from other smokefree Trusts
o We used these events to begin local action planning
o Both MH Trusts have now recruited dedicated staff to lead this agenda
Making progress
o We used Stoptober 2014 as a way to engage with MH Trust staff through Occupational Health Teams
o Working to secure funds to support training of MH Trust staff
o Planning events for Summer 2015 with Service Users, to consult and learn
o Sharing draft policies around smokefree and electronic cigarettes
Making progress
o Working with local groups to develop leaflets/resources to inform patients about smokefree pre-admission
o Developing communications plans for staff, service users, visitors around SF site
o Also generating PR to raise public awareness of links between smoking and mental health, and stress
o Both Trusts now working towards being smokefree by No Smoking Day 2016
Lessons Learnt & Summary
o NICE guidance provided a real opportunity to engage with our MH Trusts around smoking
o Crucial importance of clinical champions to drive this agenda locally
o Strategic buy-in and leadership around a shared vision
o Being clear on what that vision is (i.e. not “just” smokefree)
o Roles and responsibilities of all partners
o Having realistic timescales, and engaging staff and service users to win “hearts and minds”
Contact details….
0191 333 7140
www.freshne.com
https://twitter.com/freshsmokefree
![Discrete Differential Geometry (600.657)misha/Fall09/14-willmoreflow.pdfDifferential Geometry: Willmore Flow [Discrete Willmore Flow. Bobenko and Schröder, 2005] Gaussian Curvature](https://static.fdocuments.in/doc/165x107/60e39496d9393942a254d1eb/discrete-differential-geometry-600657-mishafall0914-differential-geometry.jpg)
